Provider Demographics
NPI:1073738076
Name:WILKINS, SCOTT K (DDS)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:K
Last Name:WILKINS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 N STATE ST
Mailing Address - Street 2:P.O. BOX 126
Mailing Address - City:SALINA
Mailing Address - State:UT
Mailing Address - Zip Code:84654-1257
Mailing Address - Country:US
Mailing Address - Phone:435-529-7715
Mailing Address - Fax:435-529-6380
Practice Address - Street 1:145 N STATE ST
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:UT
Practice Address - Zip Code:84654-1257
Practice Address - Country:US
Practice Address - Phone:435-529-7715
Practice Address - Fax:435-529-6380
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2942051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice